Active NPI
Alyssah Gentry, FNP
- Family Nurse Practitioner
- Fitchburg, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2310990
- Practice address
- 326 Nichols Rd
Fitchburg, MA 01420-1914 - Phone
- (978) 878-8100
- NPI assigned
- Oct 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2310990 | MA | Primary |
Addresses
Primary practice location
326 Nichols Rd
Fitchburg, MA 01420-1914
Mailing address
927 Pleasant St Apt 1
Worcester, MA 01602-1909
Phone (774) 402-4774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
326 Nichols Rd
Fitchburg, MA 01420-1914
Phone (978) 878-8100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2310990 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Past | Accepting new patients |
Locations
326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270
175 Connors St
Gardner, MA 01440
Phone (978) 410-6100
14 Manning Ave
Leominster, MA 01453
Phone (978) 847-0110
Interoperability endpoints
- alyssah.phoummalayvane.p1@direct.chcfhc.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Fitchburg, MA
- NPI 1477580827
-
- Federally Qualified Health Center (FQHC)
- Gardner, MA
- NPI 1225742174
-
- Federally Qualified Health Center (FQHC)
- Leominster, MA
- NPI 1891953048
-
- Federally Qualified Health Center (FQHC)
- Gardner, MA
- NPI 1285630533
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1932871258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 PLEASANT ST APT 1",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016021909",
"telephone_number": "774-402-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 NICHOLS RD",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014201914",
"telephone_number": "978-878-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "ALYSSAH",
"name_prefix": "Miss",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2310990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.